<!doctype html>
<html>

	<head>
		<meta charset="UTF-8">
		<title></title>
		<meta name="viewport" content="width=device-width,initial-scale=1,minimum-scale=1,maximum-scale=1,user-scalable=no" />
		<link href="css/mui.min.css" rel="stylesheet" />
		<style type="text/css">
			.header{
				background-color: #046edb;
			}
			
			.header a{
				color: white;
			}
			
			.mui-title{
				color: white;
			}
			
			.header_p{
				color: white;
				line-height: 45px;
			}
			
			.mui-content{
				margin-top: 20px;
			}
			
			.input_label {
				margin-top: 10px;
			}
			
			#reg{
				width: 100%;
				background-color:#046edb ;
				color: white;
			}
			
			.buttoms{
				margin-top: 20px;
			}
		</style>
	</head>

	<body>
		<header class="mui-bar mui-bar-nav header">
		    <a class="mui-action-back mui-icon mui-icon-left-nav mui-pull-left"></a>
		    <h1 class="mui-title">提交意见反馈</h1>
		    <a href="#">
		    	<p class="mui-pull-right header_p">历史</p>
			</a>
		</header>
		
		<div class="mui-content">
		    <form class="mui-input-group">
		        <textarea name="" rows="6" cols="20" placeholder="请输入您要反馈的内容，不要超过200字..."></textarea>
		   	</form>
		   	<form class="mui-input-group">
		   		<div class="mui-input-row input_label">
		            <label>手机号：</label>
		            <input type="text" class="mui-input-clear" placeholder="请输入您的手机号">
		        </div>
		   	</form>
			<form class="mui-input-group buttoms">
				<button type="button" id="reg" class="mui-btn mui-btn-block">确认</button>
			</form>
		    
		</div>
		<script src="js/mui.min.js"></script>
		<script type="text/javascript">
			mui.init()
		</script>
	</body>

</html>